- form_for(@billing_account) do |f|
= f.error_messages
%p
  = f.label :user_id
  %br
  = f.text_field :user_id, :value => 1
%p
  = f.label :first_name
  %br
  = f.text_field :first_name, :value => "first_name"
%p
  = f.label :last_name
  %br
  = f.text_field :last_name, :value => "last_name"
/
  <p>
  <haml:loud> f.label :status </haml:loud><br />
  <haml:loud> f.text_field :status, :value =&amp;gt; &amp;quot;&amp;quot; </haml:loud>
  </p>
%p
  = f.label :card_number
  %br
  = f.text_field :card_number, :value => "4111111111111111"
%p
  = f.label :card_verification
  %br
  = f.text_field :card_verification, :value => "123"
%p
  = f.label :kind
  %br
  = f.text_field :kind, :value => "create"
%p
  = f.label :customer_profile_id
  %br
  = f.text_field :customer_profile_id, :disabled => false
%p
  = f.label :customer_payment_id
  %br
  = f.text_field :customer_payment_id, :disabled => true
%p
  = f.label :card_type
  %br
  = f.text_field :card_type, :value => "visa"
/
  <p>
  <haml:loud> f.label :account_primary </haml:loud><br />
  <haml:loud> f.text_field :account_primary </haml:loud>
  </p>
%p
  = f.label :expires_at_month
  %br
  = f.text_field :expires_at_month, :value => "2"
%p
  = f.label :expires_at_year
  %br
  = f.text_field :expires_at_year, :value => "2011"
%p
  = f.label :created_at
  %br
  = f.date_select :created_at
%p
  = f.label :updated_at
  %br
  = f.date_select :updated_at
%p
  = f.submit 'Create'
- end
